Idabel PV LLC
Idabel PV LLC was paid $53K by Medicaid between Jan 2023 and Nov 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 92% of everything it billed.
33Billing provider infoIDABEL PV LLC
IDABEL, OK 74745
IDABEL, OK 74745
33aNPI1538876529assigned 10/31/2022
33bProvider typeOptometrist
28Total paid$53K
24GClaims669
24DCodes billed2
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#208 of 336
Median peer was paid$113K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 399 | $33K | |
| 2024incomplete | 270 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 92% | 412 | 410 | $49K |
| 92015 | Determination of refractive state | 8.5% | 257 | 255 | $5K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGRASSIE, KAYLA (BILLING)
| Provider | Location | Paid |
|---|---|---|
| Idabel Teg LLC | Idabel, OK | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.